Nursing Care Plan Assignment (Doc)

Added on - 21 Apr 2020

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IntroductionPerson-centeredness is a necessary attribute that requires utilization in nursing careinterventions for effectively improving the healthcare outcomes of the elderly patient. Theeffective undertaking of nursing care services for the aged patients requires the configurationof an effective therapeutic relationship with them for improving the pattern of their trust andcompliance to the recommended healthcare interventions. The presented analysis of the videosession describes the strength based strategies that an ASET nurse must deploy for effectivelyimproving the quality of life and wellness outcomes in the aged population.Answer 1: Person-centred communication with an older personMax shares his age-related hearing difficulties that create challenges in hiscommunication process. He also shares the challenges experienced by him while undertakingphysical movements. For example, he talks about the pattern of movement difficulty that hefaces while transferring from bed to chair. These age-related difficulties substantially restrainhis communication pattern with the external world. The ASET (Aged- Care ServicesEmergency Team) nurse effectively utilizes a range of person-centred communicationstrategies with the objective of systematically motivating Max for overcoming hiscommunication deficit and associated life challenges. The nurse professional begins theinterview session while preserving the dignity of Max while taking his permission andconsent before initiating the interview session. The ASET nurse also allowed Max to sharehis personal preferences, beliefs and abilities that he would prefer to utilize for living aqualitative life. Evidence-based research literature also advocates the requirement ofevaluating the preferences, abilities and skills of the aged patients with the utilization ofsupportive and positive communication strategies for effectively reinforcing the mitigation oftheir treatment challenges and individualized needs (Downs & Collins, 2015). The ASETnurse explores patient’s personality and social life while asking him several questions
regarding his occupation, habits, medication history, social history and mental status throughthe systematic deployment of interpersonal communication. The analysis by (Beaulieu, et al.,2011) advocates the requirement of improving the pattern of interpersonal relationshipbetween the healthcare provider and patient with the objective of systematically improvingthe interpersonal outcomes. Interpersonal communication focuses on prioritizing patient’sperspectives regarding his/her own medical care and utilizes them as a potential tool forenhancing the wellness outcomes. The ASET nurse motivated Max for increasing the extentand pattern of his socialization with the objective of overcoming the psycho-socio-somaticchallenges that he continues to experience across the community environment. The nurseprofessional made Max realize regarding the importance of improved social connectednessand asked him to overcome his state of isolation while mingling with the society andengaging himself in indoor and outdoor activities along with the family members. Sheutilized empathic attitude in motivating Max for sharing the causes of his isolated state andinvestigated the state of his depression and associated psychosocial manifestations. Sheinteracted with and engaged the patient thoroughly in the process of therapeuticcommunication for encouraging his focus and attention towards acquiring motivationalapproaches for improving his quality of life and health pattern. Indeed, therapeuticcommunication in the nursing profession plays a pivotal role in improving the spiritual andbiopsychosocial well-being of the elderly patients (Kourkouta & Papathanasiou, 2014).Therapeutic relationship of the ASET nurse with the elderly patients assists in their healthpromotion, education, rehabilitation, therapy, treatment and prevention of co-morbidmanifestations. In the presented video, the ASET nurse also utilized non-verbalcommunication strategies to motivate the patient in the context of overcoming his psycho-socio-somatic constraints. The nurse effectively utilized friendly gesture, soft tone, laughterintervention and positive facial expression in the context of gaining the interest, trust and
confidence of Max in terms of his active participation in the interview process. The ASETnurse proved to be highly competent and possessed the required expertise for implementingthe practical and theoretical aspects of non-verbal communication while interviewing Max inthe medical facility (Kozłowska & Doboszynska, 2012).Answer 2: The process of assessment of the older man in the videoThe ASET nurse effectively undertook the social, psychological, physical, economic,mental, familial, medication and occupational assessment of Max through the short interviewsession. The nurse professional inquired about the family circumstances of Max and tried toinvestigate the type and extent of social support possessed by him in a real-time environment.The ASET nurse many questions to the patient to understand his social status. For example,the nurse asked Max regarding his method of spending leisure time. She also investigated hissmoking status and asked him regarding the frequency of his alcohol consumption. Sheinvestigated the frequency of patient’s outdoor activities with his friends and also discussedregarding his dentures and regular visits to the dentist. The ASET nurse investigated patient’seyesight while inquiring regarding the frequency with which he utilized lenses in daily life.The nurse professional also investigated patient’s occupation (i.e. driving profession) andcommunication methods that he regularly utilizing for accomplishing his unmet day-to-dayneeds. These objective questions provided relevant cues regarding the social history of thepatient and assisted the ASET nurse in undertaking his thorough social assessment. Thissocial assessment helped the ASET nurse in evaluating the social determinants of patient’shealth. The evaluation of patient’s social support systems and leisure time activities providessignificant evidence that requires utilization for configuring effective remedial interventionswith the objective of improving their social life across the community environment (Salmond& Echevarria, 2017). The physical assessment of the patient was undertaken by evaluatinghis walking ability and self-management skills in relation to the execution of activities of
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